Payments > Patient Billing

"firing" patients

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Pay_My_Claims:
that is apples and oranges.

PMRNC:
No, I don't think so. That's part of overall problem with the healthcare system. Our doctors are so heavily regulated they don't get to be a "BUSINESS", so when it comes down to following the law and acting like a business, no one wants to give them that. If they follow proper legal guidelines, they have every right to dismiss a patient. I let my providers make this final decision but I will offer advice on doing so (dismissal) when I feel there are patients taking advantage of my client. It's my job to do that.

Pay_My_Claims:
i thought you were into that hypocratic oath thing..........
I'm just saying that 90 days and you dump me is terrible. How do you let a client leave who has cancer, ALS, etc etc because of a bill? I mean its TOOOOO soon. What happens if the bill is 25.00???

PMRNC:
You can't just "dump" them. There is a process that involves referral to another provider and an opportunity to setup payments as well. I have a client who had a patient who owed $740 worth of $10 copay's who would always say he was going to pay.. The process we took when I took the billing was the letters, collections, and even a last chance letter to say he would be dismissed from the practice, all those correspondences included an opportunity to pay down the balance, the provider was still seeing the patient through all of this and the patient still wracked up another $200 in copay's, this actually was costing his practice. If the patient is given an OPPORTUNITY to pay down a balance with payments, and they don't, I'm sorry I do not feel the provider needs to LOSE money. On the flip side, I did some consulting with an Oncologist who would even let patients setup real tiny payment plans with no interest or late charges and still he ran balances that cost his practice money trying to collect. I do believe in the Hippocratic oath, however there has to be a line in the sand drawn somewhere.

Pay_My_Claims:
and I agree with you i just need to argue with you to feel good....LOL

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